Displaying 10311-10320 of 1611142 results.
ID:
10311
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
10312
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
10313
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10314
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10315
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10316
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
10317
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10318
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10319
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10320
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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